Individual
LAN THI NGOC NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4528 W 26TH AVE STE 110, KENNEWICK, WA 99338-1863
(509) 591-4267
(509) 628-5204
Mailing address
4528 W 26TH AVE STE 110, KENNEWICK, WA 99338-1863
(509) 591-4267
(509) 628-5204
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30296
TX
122300000X
Dentist
Primary
DE60559889
WA
Other
Enumeration date
07/22/2014
Last updated
06/27/2020
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